广西百色市2009～2016年活动性肺结核病流行病学特征分析

Analysis of epidemiological characteristics of active pulmonary tuberculosis from 2009 to 2016 in Baise

目的分析百色市2009~2016年活动性结核病的流行特征,为百色市进一步开展结核病防控工作提供依据。方法对2009~2016年百色市结核病疫情资料进行描述性分析。结果百色市活动性肺结核和涂阳肺结核年平均发病率分别为97.54/10万和26.30/10万,男性病例数(19 875例,70.06%)多于女性(8494例,29.94%),发病年龄高峰为25~64岁的中壮年人群(69.29%),从发病率变化趋势来看活动性肺结核发病率至今无明显下降趋势,涂阳肺结核发病率有逐年下降趋势,活动性肺结核发病无明显的季节性,右江河谷平原地区活动性肺结核年平均报告发病率最高(109.65/10万),涂阳肺结核年平均报告发病率西部高寒山区最高(32.36/10万),职业分布以农民发病最多(24 549例,86.53%),但近年学生、离退休人群的发病有所抬头,从病人来源来看不同地区的活动性肺结核患者主要来源不同。结论百色市结核病疫情不可忽视,要对不同类型的人群、地区进行分类防控,重点关注青壮年男性、老年结核病患者以及学生。

Objective To analyse the epidemiological characteristics of active pulmonary tuberculosis from 2009 to 2016 in Baise,so as to provide basis fur ther prevention and control of the disease.Methods Descriptive analysis was carried out on the data of tuberculosis from 2009 to 2016 in Baise.Results The average annual incidence of active pulmonary tuberculosis and smear positive tuberculosis in Baise was 97.54/100 000 and 26.30/100 000, respectively,and the number of male cases （ 19 875 cases,70.06% ） was more than that of temale cases （ 8494 cases,29.94% ） .The peak age of onset was 25-64 years in middle age people（69.29% ）.Incidence trends showed that there is no obvious decline in the incidence of active tuberculosis,and the incidence of smear positive tuberculosis had a declining trend year by year.And the incidence of active puhnonary tuberculosis was not obviously seasonal.The highest average annual incidence rate of active puhnonary tuberculosis was reported in Youjiang valley plain area（ 109.65/100 000） , and the highest average annual incidence rate of smear positive puhnonary tuberculosis was reported in western alpine region（ 32.36/100 000） .Farmers were the most susceptible to tuberculosis in occupational distribution（ 24 549 cases, 86.53% ） ,but the incidence of tuberculosis among students and retired people rised in recent years.Sources of patients showed that the main sources of patients with active tuberculosis from varied regions were different. Conclusion The epidemic situation of tuberculosis in Baise can not be ignored. Different types of people and areas should be classified and controlled,tocusing on young men,elderly tuberculosis patients and students.